Case Presentation: Most complications of Hepatitis C virus (HCV) infection, such as progressive fibrosis and cirrhosis, hepatic decompensation, and hepatocellular carcinoma (HCC), are related to chronic infection. Upon adequate treatment of HCV with sustained virologic response (SVR), patients without prior bridging fibrosis or cirrhosis are at a lower risk of developing complications. This is a [...]

Case Presentation: The patient is a 29-year-old female with the history of acute pancreatitis and gastric bypass surgery, who initially presented with lower extremity swelling in the setting of hypoalbuminemia and protein-calorie malnutrition. She was started on high calorie/protein diet and was discharged on furosemide. Three weeks after discharge, she noticed peri-oral rash, which extended [...]

Case Presentation: A 59 year old man with no past history presented with continuous gingival bleeding for 3 days. He underwent dental cleaning and tooth extraction 3 days prior and since then had been having bleeding from the extraction site associated with headache and dizziness. On presentation blood pressure 110/70mmHg, pulse 105/min, temperature 98F, respiratory [...]

Case Presentation: An 87-year-old Caucasian male with a history of benign prostatic hyperplasia presented to the hospital with urinary incontinence, abdominal discomfort, and altered mentation. The patient required hospitalization for worsening symptoms. On admission, he was hypotensive (BP of 88/55 mmHg), tachycardiac (143 b/min), respiratory rate of 20 bpm, and temperature of 96.3° F. Pertinent [...]

Case Presentation: A 21M with a PMHx of juvenile rheumatoid arthritis on chronic prednisone and Ilaris presented with fevers and diarrhea. He was seen by his rheumatologist on morning of presentation for his monthly Ilaris injection, who sent him in when he was found to be hypotensive and febrile in the office. Patient endorsed a [...]

Case Presentation: An 82 year-old woman with history of stage five chronic kidney disease (CKD) presented with new onset of altered mental status, upper extremity tremors and slurred speech. Four days prior to presentation patient was diagnosed with urinary tract infection due to multidrug-resistant Pseudomonas aeruginosa, and was started on cefepime.  On the day of [...]

Case Presentation: A 25 year old Hispanic woman, G4P3 pregnant at 18 weeks with underlying hypertension and gallstones, initially presented with low back pain for 10 days. The pain started suddenly, constant, sharp with no precipitating events. It was aggravated by movement and relieved partially with painkillers. She denied lower extremity weakness, numbness, tingling or [...]

Case Presentation: A 23 year-old Central American male with a past medical history significant for an isolated seizure one year prior to present admission presents with seizure and headache. Vital signs, examination and laboratory studies at time of admission were unremarkable. CT head revealed a small eccentric nodule within a 1.0 x 0.8 x 1.1 [...]

Case Presentation: A 49-year-old male presented with altered mental status and diffuse body pain. He denied any alcohol or drug intoxication, chest pain, shortness of breath, or infectious symptoms. His past history included chronic hypothyroidism and alcoholism. He had a temperature of 36.8 degrees Celsius with a heart rate of 96 bpm and was alert [...]

Case Presentation: A 78 year old male with a history of atrial fibrillation, type 2 diabetes and former significant tobacco use, presented with a one month history of left sided neck pain. The pain was progressive and he subsequently developed left upper extremity swelling along with a rash involving the neck, left anterior chest and [...]